1. An Information and Point-Counterpoint Presentation By
Disease Management Colloquium Philadelphia, PA May 11, The Risk of Perverse Incentives in P4P Models Involving the Chronically Ill
An Information and Point-Counterpoint Presentation By
Drs Thomas Foels and Ronald Bangasser

12. First Generation Second Generation Prevention Chronic Disease
Component Composite
(Uni-dimensional) (Multi-dimensional)
Secondary Source Primary source
(Claims) (Medical record)
“Social Darwinism” “Social Equity” (improvement literacy)

13. Practice Excellence Program

14. Data Analysis and Trends
Asthma

16. Data Analysis and Trends
Diabetes

20. Point-CounterPoint Does P4P lead to valuable systems change?
Is it the right tool for quality improvement?
Does the global payment system align with P4P?
You can’t measure everything. Are selected P4P metrics a true proxy for health care quality in other domains?
Can you distinguish physician responsibility from patient compliance issues?

21. Point-CounterPoint 2 Is “efficiency” a legitimate or fair P4P metric?
Q and A as time allows.